MEDICARE: DR. ADAM BISAGA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2053001	NY
2	2084P0802X	Addiction Psychiatry Physician	205300	NY

General Provider Information

NPI Number	:	1023135613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM BISAGA MD

Provider Business Mailing Address
First Line	:	1051 RIVERSIDE DR
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1007
Country	:	US
Telephone Number	:	212-543-6542
Fax Number	:

Provider Business Practice Location Address
First Line	:	547 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2143
Country	:	US
Telephone Number	:	914-419-8921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	02/20/2024

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Directions to “ DR. ADAM BISAGA MD” Practice Location

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